OrganizationActive
Educare Community Living Corporation - North Carolina
NPI 1215057468 · Intellectual Disabilities Intermediate Care Facility · Winston Salem, NC
Provider details
- NPI number
- 1215057468
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deena Ombres, Privacy Officer(502) 394-2387
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2901 Konnoak Dr
Winston Salem, NC 27127-3945
Phone: (336) 788-5543
Approximate (ZIP-level) locationGet directions
Mailing address
9901 Linn Station Rd
Louisville, KY 40223-3808
Other names (DBA / former)
- Other name
- Ec Gbo Konnoak
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2008-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.